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172 No Creek RdDavie County, NC AuafRr=Y tb^ rJ,1,LIL [RD Tax Parcel Report Ipb_l__ Wednesday, October 5, 2016 All data Is provided as Is without warranty or guarantee of any Idnd either expressed or Implied Including but not limited to the Davie County, Implied warranties of merchantability or fitness for a particular use. All users of Davie County's GIS website shall hold harmless the County of Davie, North Carolina, Its agents, consultants, contractors or employees from any and all claims or causes of action due to NC or arising out of the use or Inability to use the GIS data provided by this website. WARNING: THIS IS NOT A SURVEY Parcel Information Parcel Number: J700000048 Township: Fulton NCPIN Number: 5768401206 Municipality: Account Number: 8658000 Census Tract: 37059-804 Listed Owner 1: BODE RONALD Voting Precinct: FULTON Mailing Address 1: 172 NO CREEK ROAD Planning Jurisdiction: Davie County City: MOCKSVILLE Zoning Class: DAVIE COUNTY R-20 State: NC Zoning Overlay: Zip Code: 27028-7340 Voluntary Ag. District: No Legal Description: 1.986 AC NO CREEK RD Fire Response District: FORK Assessed Acreage: 1.59 Elementary School Zone: CORNATZER Deed Date: 7/2003 Middle School Zone: WILLIAM ELLIS Deed Book / Page: 005020001 Soil Types: Gn132 Plat Book: Flood Zone: Plat Page: Watershed Overlay: DAVIE COUNTY Building Value: 127060.00 Outbuilding & Extra Freatures Value: 7540.00 Land Value: 24170.00 Total Market Value: 158770.00 Total Assessed Value: 158770.00 All data Is provided as Is without warranty or guarantee of any Idnd either expressed or Implied Including but not limited to the Davie County, Implied warranties of merchantability or fitness for a particular use. All users of Davie County's GIS website shall hold harmless the County of Davie, North Carolina, Its agents, consultants, contractors or employees from any and all claims or causes of action due to NC or arising out of the use or Inability to use the GIS data provided by this website. cj s AUTHOrAJZATION NO: DAVIE COUNTY HEALTH DEPARTMENT`', Q .o Environmental Health Section PROPERTY INFORMATION J`- Permittee's r" .� P.O. Box 848 Name: S Mocksville, NC 27028 Subdivision Name: Phone #:704-634-8760 Directions to property: 1+i N�� Section: Lot: AUTHORIZATION FOR WASTEWATER I SYSTEM CONSTRUCTION Tax Office PIN:# - - s: _ .� Road Name: **NOTE** This Authorization for Wastewater System Construction MUST BE ISSUED by the Davie County Environmental Health Section prior to issuance of any Building Permits. This Form/Authorization Number should be presented to the Davie County Building Inspections Office when applying for Building Permits. (In compliance with Article 11 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems) ***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION IS VALID FOR A PERIOD OF FIVE YEARS. ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED DAVIE COUNTY HEALTH DEPARTMENT B 4 IMPROVEMENT AND OPERATIONERMITS PROPERTY INFORMATION erml ee s Names`'. Directions to property: Subdivision Name: I Section: Lot: IMPROVEMENT PERMIT Tax Office PIN:# VE "1 a �' Road Name r:e �, n Zip;. .1 **NOTE** This Improvement Permit DOES NOT authorize the construction or installation of a septic tank system or any wastewater system. An AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION must be obtained from this Department prior to the construction/installation of a system or the issuance of a building permit. (In compliance with Article 11 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems) ***NOTICE*** THIS PERMIT IS SUBJECT TO REVOCATION IF SITE PLANS OR THE INTENDED USE CHANGE. YOUR WASTEWATER ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE INSTALLING THE SYSTEM. RESIDENTIAL SPECIFICATION: BUILDING TYPE'01-NS # BEDROOMS —a�— # BATHS # OCCUPANTS GARBAGE DISPOSAL: Yes o�Nq COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLEISHIFT # SEATS _ INDUSTRIAL WASTE: Yes or No LOT SIZE TYPE WATER SUPPLY DESIGN WASTEWATER FLOW (GPD) �'� NEW SITE REPAIR SITE V SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL. TRENCH WIDTH �� i ROCK DEPTH �4� LINEAR FT. j REQUIRED SITE MODIFICATIONS/CONDITIONS: IMPROVEMENT PERMIT LAYOUT "CONTACT A REPRESENTATIVE OF THE DAVIE COUNTY HEALTH,DEPARTMENT FOR FINAL INSPECTION OF THIS SYSTEM BETWEEN 8:30 - 9:30 A.M. OR 1:00 - 1:30 P.M. ON THE DAY OF INSTALLATION. TELEPHONE # IS (704) 634-8760. L OPERATION PERMIT AUTHORIZATION NO. OPERA JA SYSTEM INSTALLED BY: t DATE: "THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYSTEM DESCRIBED ABOVE HAS BEEN INSTALLED IN COMPLIANCE WITH ARTICLE 11 OF G.S. CHAPTER 130A, SECTION .1900 "SEWAGE TREATMENT AND DISPOSAL SYSTEMS", BUT SHALL IN NO WAY BE TAKEN AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORILY FOR ANY GIVEN PERIOD OF TIME. DCHD 05/96 (Revised) 9 IT DAVIE COUNTY HEALTH DEPARTMENT �. IMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION 7 Permfttee's'- ., Name: ;g Directions to property: Subdivision Name: Section: Lot: IMPROVEMENT PERMIT Tax Office PIN:# Road Name: i ` Zip: - **NOTE** This Improvement Permit DOES NOT authorize the construction or installation of a septic tank system or any wastewater system. An AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION must be obtained from this Department prior to the construction/installation of a system or the issuance of a building permit. (In compliance with Article 11 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems) _ .... __ ***NUTIUh*** 1 HIS FEKMIT iS SUDJhU'1 1'U K!':VUUA"IIUN IF SITE " PLANS OR THE INTENDED USE CHANGE. YOUR WASTEWATER ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE INSTALLING THE SYSTEM. RESIDENTIAL SPECIFICATION: BUILDING TYPE # BEDROOMS =� # BATHS �_ # OCCUPANTS N GARBAGE DISPOSAL: Yes 00W COMMERCI>AL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes or No LOT SIZE '` TYPE WATER SUPPLY �Z� DESIGN WASTEWATER FLOW (GPD) 3 0 NEW SITE REPAIR SITE !% SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL. TRENCH WIDTH ;,,.� ROCK DEPTH �� —LINEAR FT...<)60 REQUIRED SITE MODIFICATIONS/CONDITIONS: IMPROVEMENT PERMIT LAYOUT yw ._.,• I f y,, i(i UI-, J "CONTACT A REPRESENTATIVE OF THE DAVIE COUNTY HEALTH DEPARTMENT FOR FINAL INSPECTION OF THIS SYSTEM BETWEEN 8:30 - 9:30 A.M. OR 1:00 - 1:30 P.M. ON THE DAY OF INSTALLATION. TELEPHONE # IS (704) 634-8760. I OPERATION PERMIT SYSTEM INSTALLED BY: f AUTHORIZATION NO. OPERATION PERMIT DATE: G '� **THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYSTEM DESCRIBED ABOVE HAS BEEN INSTALLED IN CO/MPLIANCE WITH ARTICLE 11 OF G.S. CHAPTER 130A, SECTION .1900 "SEWAGE TREATMENT AND DISPOSAL SYSTEMS", BUT SHALL IN NO WAY BE TAKEN AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORILY FOR ANY GIVEN PERIOD OF TIME.'` DCHD 05/96 (Revised) 0-L ccs - C j11tZ rn Ai I) IMM 11KOW rIV. to DAVIE COUNTY ENVIRONMENTAL HEALTH SECTION wfi S APPLICATION FOR IMPROVEMENT PERMIT (REPAIR) WA Je NAME SAS N," e-/ l c�y4s PHONE NUMBER�4Gy3yT6�36- ADDRESS / %. /1/D SUBDIVISION NAME lnee,lQy•71 h L 2,762J- LOT # DIRECTIONS TO SITE *jT iLZ/G*�y fl-//- T• � No 6ty. Ad - 3 r+4-,. o, R* DATE SYSTEM INSTALLED NAME SYSTEM INSTALLED UNDER TYPE FACILITY —NUMBER BEDROOMS -7 NUMBER PEOPLE SERVED -� TYPE WATER SUPPLY L°du n % SPECIFY PROBLEM OCCURRING_ / ry DATE REQUESTED 9-19-,? 7 INFORMATION TAKEN BY This is to certify that the information provided is correct to the best of m Clio I d e, and that I understand I am responsible for all charges incurred from this applicatidn. 1 n SIGNATURE OF OWNER OR AUTHORIZED AGENT Rev. 1/83